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Geisinger becomes the first member of Risant Health

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Group health plans for 51–99 employees

Flexible, cost-effective healthcare coverage focused on you

Health insurance for mid-sized businesses 

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Quality

Backed by one of the nation’s most renowned health systems, our health plans provide more affordable, better quality care for you and your employees. 

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Access

Our expansive regional network combined with First Health® — a national wrap network including over 96% of U.S. hospitals, more than 800,000 providers and over 125,000 ancillary providers — gives you access to quality care across the country.

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Service

We know there’s no “one-size-fits-all” when it comes to health insurance. That’s why we pride ourselves on personalized customer care — with real, local people here to support you from start to finish. 

 

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Cost

We’ll help you control your costs. Our integrated coverage model means high-quality care for your employees and more savings for you.

 

Plans

Geisinger Funding Alternative (GFA) level-funded

Geisinger Funding Alternative (GFA) level-funded plan is available to groups with 5 to 199 enrolled subscribers. These plans combine the predictable payments of fully-insured plans with the cost savings of traditional self-funding. GFA plans are ideal for businesses with generally healthy employees and a low number of high-cost claims. 

Benefits of GFA plans include

  • Standard plan designs with four formulary options
  • Cost-efficient pricing
  • Stop-loss coverage for protection against large claims
  • Predictable monthly payments based on employee’s health trends
  • Experience credit (portion of unused claims funding returned)
Geisinger Self-Funded – Administrative Services Only

With a self-funded health plan, an organization takes on the responsibility and financial risk of providing health insurance benefits to their covered members. Meanwhile, we manage the day-to-day operations like processing claims, issuing ID cards, answering your covered members’ questions and more. Geisinger’s Self-Funded Administrative Services Only (ASO) plans are a cost-effective and flexible solution for your business.

Benefits include:

  • Three plan options: Geisinger ASO Traditional, ASO A La Carte and ASO A La Carte with Veris™ Stop Loss.
  • Low-cost base medical fee: Essential core services such as enrollment, claims processing, customer service and standard reporting — at a fraction of the cost.
  • Custom plan designs*: Ala-carte service options such as Teladoc, claims fiduciary, maternity management program, biometrics screenings and upgraded health wellness services are all part of designing the right plan for your company.
  • Diverse provider network:
    • In-network coverage:
      • More than 33,000 primary and specialty physicians
      • More than 150 hospitals, including Geisinger hospitals, Hershey Medical Center and Johns Hopkins
      • Over 230 urgent care and convenient care locations
    • Out-of-network (First Health Network):
      • More than 5,000 hospitals
      • 90,000 ancillary facilities
      • More than 550,000 providers
      • 1 million healthcare service locations
      • ASO members have in-network rates regardless of where they live
  • Stop-loss options*: Protects clients from the risk of high-cost catastrophic claims through stop-loss coverage and carve-outs for prescription coverage.
  • Proof of savings: Our new claims repricer tool takes your detailed claims file for the past year and reprices the claims as if we were the carrier to show how much you’ll save. Carriers who reprice their claims see an average of 15% to 35% in savings.
  • Business size: Is best suited for organizations with 200+ enrolled subscribers.

*Size restrictions and fees may apply for certain benefit options. Stop-loss coverage is available for groups with 100+ subscribers, while level-funding options are available for groups with fewer than 100

Geisinger Health Plan Fully-Insured

We offer a variety of custom and standard fully-insured plans to help meet the needs of your business. 

Benefits of fully-insured plans include:

  • Robust HMO and PPO plans
  • Extensive provider network locally and through our national provider network
  • Nationally recognized condition management programs
  • Wellness and care management programs
  • Specially trained client and customer support teams
  • Renowned medical and pharmacy management services 
  • Innovative population health management services 
  • Award-winning Centers of Excellence
  • Health reimbursement and savings accounts
  • Critical group information on our secure employer service center
  • Analytics and reporting for eligible groups from MedInsight by Milliman

Get a quote

Ready to find the perfect health plan? Let’s get started.

Coverage

National coverage

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Provided through First Health®, a wrap network with 1 million+ providers across the nation.

Local coverage

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Geisinger group plan perks

Health and wellness

Help your employees and their families live healthier and happier with our comprehensive, customized wellness programs. 

Case management

Our care team helps your employees set and achieve personal health goals, from lifestyle changes to complex disease and condition management.

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Geisinger pharmacy

With our in-house pharmacists and drug specialists, your employees can rest easy knowing they’re getting the most value and best care.

Nationally recognized programs

Our integrated health system gives your employees access to innovative cost-saving programs like ProvenCare®, Fresh Food Farmacy® and numerous Centers of Excellence.

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Chronic illness and behavioral health management

Have an employee who needs help with a chronic condition or behavioral health? They’ll receive personalized support to manage and maintain their well-being.

 

Telemedicine

Telemedicine lets your employees and their families receive primary and specialty care right from the comfort of their couch.

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Need help or have questions? 

We're here to answer your questions, help you select the right plan for your business and guide you through the enrollment process.

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